Provider Demographics
NPI:1811229958
Name:WEINBERGER, CYNTHIA CARRON (OT/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CARRON
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:OT/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S SAPODILLA AVE APT 117
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4179
Mailing Address - Country:US
Mailing Address - Phone:603-504-5030
Mailing Address - Fax:561-530-2026
Practice Address - Street 1:801 S OLIVE AVE STE 106
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6127
Practice Address - Country:US
Practice Address - Phone:561-461-5343
Practice Address - Fax:561-530-2026
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0728225X00000X
VT072-0000533225X00000X
FLOT18594225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3095380Medicaid
VT1023988Medicaid
NH0021535OtherMEDICARE PTAN
NHT400187533OtherMEDICARE PTAN